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The role of Isolation of the Patients on Hospital Admission for Prevention of Nosocomial Infections 住院隔离对预防院内感染的作用
Pub Date : 2021-04-30 DOI: 10.36519/idcm.2021.35
Ş. Keske, Bahar Madran, A. Yerlikaya, Gözde Akbaba, Ebru Dönmez, Y. Beşli, Ö. Ergönül
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引用次数: 0
Presenting Characteristics and ICU Admission Among Patients Hospitalized with COVID-19 COVID-19住院患者的表现特点及ICU住院情况
Pub Date : 2021-04-30 DOI: 10.36519/idcm.2021.20
Aral Sürmeli, Öykü Beyaz, Elif Sitre Koç, Yasemin Gündoğdu, Ç. Çuhadaroglu, S. Kocagöz
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引用次数: 1
Analysis of Scientific Publications on Acinetobacter bacteremia in Web of Science Web of Science上有关不动杆菌菌血症的科学出版物分析
Pub Date : 2021-04-30 DOI: 10.36519/idcm.2021.37
S. Alkan, Emine Kübra Dindar Demiray, E. Yıldız, C. Özlü
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引用次数: 14
The Impact of SARS-CoV-2 Variants on Morbidity, Mortality and Effectiveness of Vaccines SARS-CoV-2变异对疫苗发病率、死亡率和有效性的影响
Pub Date : 2021-04-30 DOI: 10.36519/idcm.2020.0044
K. Midilli
Coronaviruses are known to evolve slower than the other RNA viruses; however, SARS-CoV-2 underwent a major shift through D614G change in February 2020, even before the declaration of a pandemic by WHO and D614G variant became rapidly dominant throughout the world. The spike protein of this variant with D614G change have a higher affinity to human ACE-2 and gained a transmission advantage against other circulating variants. Some mutations may confer advantages for the virus, and the variants carrying this kind of mutations may outcompete the previous variants (1). A mutation may cause changes in biology, transmissibility, susceptibility of the virus against naturally or vaccine-induced immunity, and the presentation and outcome of the disease caused by the virus. All of these changes may pose extra challenges regarding the containment of the epidemic, treatment and prevention of the disease using antivirals, immunotherapeutics like monoclonal antibodies or convalescent plasma, and vaccines (2,3).
众所周知,冠状病毒的进化速度比其他RNA病毒慢;然而,即使在世卫组织宣布大流行和D614G变体在世界范围内迅速占据主导地位之前,SARS-CoV-2在2020年2月通过D614G变化经历了重大转变。D614G变化的突变体刺突蛋白与人类ACE-2具有更高的亲和力,并且在与其他循环突变体的传播中具有优势。一些突变可能会给病毒带来优势,携带这种突变的变体可能会胜过先前的变体(1)。突变可能会导致生物学、传播性、病毒对自然或疫苗诱导免疫的易感性以及病毒引起的疾病的表现和结果的变化。所有这些变化都可能在控制疫情、使用抗病毒药物、单克隆抗体或恢复期血浆等免疫疗法和疫苗治疗和预防疾病方面带来额外的挑战(2,3)。
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引用次数: 1
The Impact of C Reactive Protein in Prediction of the Outcome in Infective Endocarditis C反应蛋白对感染性心内膜炎预后预测的影响
Pub Date : 2021-04-30 DOI: 10.36519/idcm.2021.42
S. Şimşek-Yavuz, Sibel Dogan–Kaya, Denef Deniz, Elif Tükenmez-Tigen, S. Öztürk, Ş. Menekşe, M. Öcalmaz, S. Başaran, Ayfer Sensoy, Yeşim Uygun Kızmaz, Ezgi Yılmaz, H. Eraksoy
Objective: A simple and widely available test is needed to monitor the response to the treatment and predict adverse outcomes in patients with infective endocarditis (IE). We aimed to detect the role of C-reactive protein (CRP) level in the prognosis of IE. Materials and Methods: The patients diagnosed as probable or definite IE between 2015 and 2016 from five medical centers were included in the study. Clinical and laboratory features of the patients recorded on previously prepared forms retrospectively. Comparison of CRP levels between survived and dead patients were made by repeated-measures variance analysis. Receiver operating characteristic (ROC) curves at baseline, the first, second, third and fourth week of antimicrobial treatment were constructed to explain the ability of CRP level to predict mortality. Multivariate analysis was performed to predict the risk factors for mortality. Results: In total, 111 cases of IE were included. Serum CRP levels were higher in patients with mortality at every measurement. Comparing baseline CRP, lower than a double or triple decrease of serum CRP level at the third or fourth week of treatment or any increase under treatment were related to mortality. According to the ROC curve analysis, the highest overall accuracy in death prediction was at the fourth week CRP level (c=0.74); the CRP level of ≥50 mg/L was 86% sensitive and 78% specific to predict mortality. The presence of chronic renal failure (OR 14.386) and the fourth week CRP level (OR 1.016) were independent risk factors in terms of mortality. Conclusion: Being an easily performed and widely available test, CRP is a useful tool to follow up the response to the treatment and predict outcome among patients with IE. In the fourth week of treatment, a CRP level of ≥50 mg/L should be regarded as an alarming sign of poor outcome and should lead to investigation and appropriate management of complications.
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引用次数: 3
Tick Borne Disease Induced Pancytopenia 蜱传疾病引起的全血细胞减少症
Pub Date : 2021-01-01 DOI: 10.36519/idcm.2021.32
Mina Said
One of the uncommon and often missed causes of acute pancytopenia is tick-borne illnesses, mainly Human Monocytic Ehrlichiosis (HME) / Human Granulocytic Anaplasmosis (HGA) and Babesiosis, though the specific mechanism of the former is still unknown. The challenges in such diagnosis are that the tests for many tick-borne diseases have poor validity, and also that these diseases can co-exist, making the exact etiology of the hematopoietic defect more difficult to identify. This report demonstrates a case of acute pancytopenia secondary to tick-borne illness, which is a rare presentation. This was based on the exposure history, exclusion of other causes, Erythema Migrans lesion, response to doxycycline, and the known limitations of testing. A 60-year-old Caucasian female with Rheumatoid arthritis, presented in Rochester, New York during summer, with a six-day history of vague symptoms including fatigue, headache, poor appetite, and nausea. She was frequently visiting her husband who lives in a cabin in a near wooded area. Records showed she had a history of Lyme disease that got successfully treated one year prior, but did not recall any tick bites lately. She was found to have fever, acute pancytopenia, and transaminitis. Her initial labs also showed high LDH and CRP. Otherwise, Reticulocytes, Vitamin B12, Folate, Lactic acid, have all been normal, as well as her imaging including chest X-ray, head CT, and abdominal ultrasound. A bone marrow aspirate showed nonspecific reactive changes. Infectious diseases team later noted a circular skin lesion with pale center suggesting Erythema Migrans, with a thorough workup only positive for Lyme IgG and EBV IgG, but negative for Legionella antigen, Leptospirosis antibody, HIV, Parvovirus B19, Hepatitis panel, HME/HGA testing, blood smear, and blood cultures. She was started on a Doxycycline trial on Day 4 for probable tick-borne illness with rapid improvement in her symptoms and lab results.
蜱传疾病是引起急性全血细胞减少症的不常见且经常被忽视的原因之一,主要是人单核细胞埃利希体病(HME) /人粒细胞无形体病(HGA)和巴贝斯虫病,尽管前者的具体机制尚不清楚。这种诊断的挑战在于,对许多蜱传疾病的检测有效性较差,而且这些疾病可能共存,使得造血缺陷的确切病因更难以确定。本文报告一例急性全血细胞减少症继发于蜱传疾病,这是一种罕见的表现。这是基于暴露史,排除其他原因,红斑移动性病变,对强力霉素的反应,以及已知的测试局限性。60岁白人女性,类风湿性关节炎,夏季在纽约州罗切斯特就诊,有6天模糊症状史,包括疲劳、头痛、食欲不振和恶心。她经常去看望住在附近树林里的小木屋里的丈夫。记录显示,她有莱姆病病史,一年前得到了成功治疗,但最近不记得有任何蜱虫叮咬。她被发现有发烧、急性全血细胞减少症和转氨炎。她最初的实验也显示出高乳酸脱氢酶和CRP。此外,网状红细胞、维生素B12、叶酸、乳酸均正常,影像学检查包括胸部x线、头部CT和腹部超声。骨髓抽吸显示非特异性反应性改变。随后,传染病小组发现圆形皮肤病变,中心苍白,提示有红斑性迁移,全面检查莱姆病IgG和EBV IgG阳性,但军团菌抗原、钩端螺旋体病抗体、HIV、细小病毒B19、肝炎、HME/HGA检测、血液涂片和血培养阴性。她于第4天开始多西环素试验,以治疗可能的蜱传疾病,症状和实验室结果迅速改善。
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引用次数: 0
Predictors of Human Papilloma Virus Vaccination Uptake among Female UniversityStudents in Turkey 土耳其女大学生接种人乳头瘤病毒疫苗的预测因素
Pub Date : 2020-12-31 DOI: 10.36519/idcm.2020.003010.36519/
I. Kayı, Gokcen Yavas, B. Uçurum, P. Yilmaz, Betul Gokcek, Seyda Ece Oguzer, Bugse Eglenen
This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. ABSTRACT Introduction: Human Papilloma Virus (HPV) vaccine provides a primary prevention opportunity to decrease the morbidity and mortality of cervical cancer. Turkey has not yet included it in the national immunization program, but it is commercially available. We aimed to explore the predictors of HPV vaccine uptake among female students in a university in Turkey. Methods: This is a cross-sectional survey conducted with 1,115 female students via a questionnaire assessing the sociodemographic characteristics, vaccination uptake, knowledge and attitudes towards HPV and related conditions. Results: 75.2% (n=838) of the participants reported hearing HPV vaccine and 17.9% (n=200) reported they had received at least one dose of HPV vaccine. The median knowledge score was 6 out of 10. Multivariate analysis showed that age (OR: 1.181; 95% CI 1.070-1.304), knowledge score (OR: 1.183; 95% CI 1.075-1.302), department (OR: 1.667; 95% CI 1.0872.557), sexual activity (OR: 2.384; 95% CI 1.596-3.561), and level of family income (OR: 3.205; 95% CI 2.066-4.970), were significantly associated with vaccination uptake. Conclusion: Our study indicates that the cost of HPV vaccines is an important barrier to equitable access to vaccines. Policies ensuring equitable access and raising awareness has the potential to promote the vaccination uptake among youth.
本作品采用知识共享署名-非商业4.0国际许可协议。摘要简介:人乳头瘤病毒(HPV)疫苗为降低宫颈癌的发病率和死亡率提供了一级预防机会。土耳其尚未将其纳入国家免疫规划,但可以在市场上买到。我们的目的是探讨土耳其一所大学女学生HPV疫苗接种的预测因素。方法:对1115名女大学生进行横断面调查,采用问卷调查的方式评估社会人口学特征、疫苗接种率、对HPV及相关疾病的知识和态度。结果:75.2% (n=838)的参与者报告听过HPV疫苗,17.9% (n=200)的参与者报告他们至少接种过一剂HPV疫苗。知识得分中位数为6分(满分为10分)。多因素分析显示,年龄(OR: 1.181;95% CI 1.070-1.304),知识评分(OR: 1.183;95% CI 1.075-1.302),科室(OR: 1.667;95% CI 1.0872.557),性行为(OR: 2.384;95% CI 1.596-3.561)和家庭收入水平(OR: 3.205;95%可信区间为2.066-4.970),与疫苗接种率显著相关。结论:我们的研究表明,HPV疫苗的成本是公平获得疫苗的一个重要障碍。确保公平获取和提高认识的政策有可能促进青年接种疫苗。
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引用次数: 2
A COVID-19 Patient Which is Diagnosed after Magnetic Resonance Imaging 一名经磁共振成像确诊的新冠肺炎患者
Pub Date : 2020-12-31 DOI: 10.36519/10.36519/idcm.2020.0024
Uğur Kesimal
This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. A40-year-old female patient without any medical history presented to the emergency department with a 3-day history of neck pain and headache. She did not show any other symptoms. Her initial laboratory tests showed slightly increased C-reactive protein (6 mg/L; normal range 0-5 mg/L) and a normal white cell count. There were not observed any other abnormal laboratory finding (leukocyte, 7.4 x 103/uL; hemoglobin, 11.7 gr/dL; platelet, 172 x 103/uL; aspartate aminotransferase, 27 U/L; alanine aminotransferase, 31 U/L). After her neurological examinations, she
本作品采用知识共享署名-非商业4.0国际许可协议。40岁女性,无任何病史,因颈部疼痛和头痛3天就诊于急诊科。她没有表现出其他症状。她最初的实验室检查显示c反应蛋白轻微升高(6 mg/L;正常范围0- 5mg /L),白细胞计数正常。实验室未见其他异常(白细胞,7.4 × 103/uL;血红蛋白11.7 gr/dL;血小板,172 × 103/uL;天冬氨酸转氨酶,27 U/L;丙氨酸转氨酶,31 U/L)。在她的神经学检查之后,她
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引用次数: 0
Adverse Cardiac Events Among the Patients Using Hydroxychloroquine and Azithromycin in COVID-19 新冠肺炎患者羟氯喹与阿奇霉素联合用药的心脏不良事件分析
Pub Date : 2020-12-31 DOI: 10.36519/idcm.2020.0023
Ibrahim Ethem Dural, Y. Nadir
Background: Hydroxychloroquine (HQN) and azithromycin (AZ) were used in the treatment of coronavirus disease 2019 (Covid-19), which might lead to cardiac side effects. Aim: We aimed to describe the safety of HQN and HQN+AZ in terms of cardiac events. Materials and methods: The QTc intervals were calculated by examining the ecg records of the first day and fifth day of hospitalization the patients who received HQN with or without concominant AZ for treatment of Covid 19. Results: We included 93 patients.Moderate QTc prolongation was detected in 3 (7.5%) of 40 patients who received hydroxychloroquine monotherapy for five days. Critical qtc prolongation was not detected in any patient. Three (5.6%) of 53 patients who received dual treatments had moderate QTc prolongation and two patients had critical qtc prolongation. Torsades de pointes was not detected among the patients. Conclusion: Close ECG monitoring is necessary, and the frequency of ECG monitorization should be individualized in patients receiving azithromycin with hydroxychloroquine.
背景:羟氯喹(HQN)联合阿奇霉素(AZ)治疗冠状病毒病2019 (Covid-19),可能导致心脏副作用。目的:我们旨在描述HQN和HQN+AZ在心脏事件方面的安全性。材料与方法:通过检查HQN合并或不合并AZ治疗新冠肺炎患者住院第1天和第5天的心电图记录,计算QTc间隔。结果:纳入93例患者。40例接受羟氯喹单药治疗5天的患者中有3例(7.5%)出现中度QTc延长。未发现任何患者出现临界qtc延长。53例接受双重治疗的患者中有3例(5.6%)QTc中度延长,2例QTc重度延长。患者中未检出点扭转。结论:在阿奇霉素与羟氯喹联合用药的患者中,密切的心电监测是必要的,监测频率应个体化。
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引用次数: 0
The Striking Observations on Two Personal Protective Measures During COVID-19 Pandemic: Face Mask and Social Distance COVID-19大流行期间两项个人防护措施的惊人观察:口罩和社交距离
Pub Date : 2020-12-31 DOI: 10.36519/idcm.2020.0022
S. Kose, Y. Ozbel
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引用次数: 0
期刊
European Journal of Clinical Microbiology and Infectious Diseases
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